Orthopaedics

FloraSeal® SurgiSeal® Synvichor™ Accurian™ RFA Aquamantys™ PlasmaBlade™ RadiaLux™
  • Surgical Site Infections (SSI) have been shown to increase Arthroplasty costs by 61%[1] and it is estimated that 2% to 5% of all patients who undergo surgery will develop a SSI.[2]
  • The median cost of treating Prosthetic Joint Infection is $34,800 per patient[3] with infection shown as the cause of 17% of Revision Hips and 24.1% of Revision Knees[4]
FloraSeal®
  • FloraSeal has been shown to trap and immobilise bacteria that may cause infection to the patient. It rapidly and powerfully kills gram-positive and gram-negative bacteria.[5]
  • FloraSeal effectively reduces microbial colonisation within 15 minutes and maintains a low microbial colonisation throughout the 24 hours after application, has the same efficacy when being used with or without an antimicrobial surgical incise drape, and mitigates microorganisms more effectively than an antimicrobial surgical incise drape alone.[6]

1. Peel, T.N., Cheng, A.C., Liew, D., Buising, K.L., Lisik, J., Carroll, K.A., Choong, P.F.M. and Dowsey, M.M. (2015), Direct Hospital Cost Determinants Following Hip and Knee Arthroplasty. Arthritis Care & Research, 67: 782-790. https://doi.org/10.1002/acr.22523

2. Towfigh, S., Cheadle, W. G., Lowry, S. F., Malangoni, M. A., & Wilson, S. E. (2008). Significant reduction in incidence of wound contamination by skin flora through use of microbial sealant. Archives of surgery (Chicago, Ill.:1960), 143(9), 885–891.

3. Peel, T. N., Cheng, A. C., Lorenzo, Y. P., Kong, D. C., Buising, K. L., & Choong, P. F. (2013). Factors influencing the cost of prosthetic joint infection treatment. The Journal of hospital infection, 85(3), 213–219. https://doi.org/10.1016/j.jhin.2013.07.012

5. Prince, D., Kohan, K., Solanki, Z., Mastej, J., Prince, D., Varughese, R., & Patel, M. (2017). Immobilization and death of bacteria by Flora Seal microbial sealant. Int J Pharm Sci Invent, 6(6), 45-49.

6. Data on File. Adhezion Biomedical, LLC

SurgiSeal® Topical Skin Adhesive is a high purity, antimicrobial, liquid topical skin adhesive that can replace sutures for incision or laceration repair.

SurgiSeal® is the only topical skin adhesive in the world to receive FDA 510K Clearance in demonstrating inhibition of gram-positive and gram-negative bacteria growth.[1]

SurgiSeal® provides the optimal balance between strength and flexibility. In replacing sutures for incision or laceration repair, it can save time, provide a flexible, water-resistant, protective coating, and eliminate the need for suture removal.

FloraSeal®

1. SurgiSeal IFU: Due to the anhydrous property of the SurgiSeal adhesive, gram+ and gram- bacteria which become incorporated within the adhesive upon application, are not expected to grow.

Synvichor™ is a revolutionary diagnostic device that is able to rapidly and reliably differentiate between infection and inflammation in a matter of hours. Taken from a joint aspirate, the test will be done on site and will provide clinicians with a level of diagnostic accuracy and speed never before seen in infectious medicine.

Every $1 spent on Synvichor™ test will save the healthcare sector $25.21 in hospital costs and treatment in 97% of cases.[1]

Synvichor™

1. Data on File, OrthoDx

The Accurian™ Radiofrequency Ablation (RFA) platform combines proprietary hardware design and quad core processing, resulting in sophisticated algorithms that manage power and control temperature during ablation surgery. The Accurian™ Radiofrequency Ablation (RFA) therapy platform has been extensively tested for lasting reliability and is upgrade-ready for the future.

Accurian™

Internally cooled probes create larger, spherical lesions (compared to standard lesions) with greater distal projection.

  • Larger spherical lesions (compared with standard lesions)
  • Flexibility in approach angle with enhanced probes: as much as 45% of lesion volume is projected distally to probe tip

Internally cooled probes create larger, spherical lesions

PROCEDURES

  • Knee OA/Pain
  • Hip OA/Pain
  • Shoulder OA/Pain
Accurian™ in knee procedures
  • Shown to reduce blood loss by 40% in THA and decrease transfusions by 73%[7]
  • Improves maintenance of haemoglobin levels compared to traditional electrosurgery[7,8]
  • Reduces post-operative drainage compared to traditional electrosurgery[8]
  • Reduces transfusion rates[7,8,9]
  • Reduces length of stay following THA[9]
Aquamantys™
  • Increases the percentage of patients discharged home after THA[9,10]
  • Has been shown to reduce the incidence of hematoma, one of the top three reasons for TJA readmission, by 75% in THA[8,9]
  • Has been shown to reduce post-operative pain and swelling leading to a reduced incidence of hemarthrosis following TKA[11]
  • Has been shown to reduce operative time during infected THA revisions[12]

PROCEDURES

  • Total knee arthroplasty
  • Total hip arthroplasty
  • Total shoulder arthroplasty
  • Revision orthopaedic surgery
  • Amputation
  • Trauma

7. Marulanda GA,Ulrich SD, Seyler TM, Delanois RE, Mont MA. Reductions in blood loss with a bipolar sealer in total hip arthroplasty. Expert Rev Med Devices. 2008;5(2):125–131.

7. Marulanda GA,Ulrich SD, Seyler TM, Delanois RE, Mont MA. Reductions in blood loss with a bipolar sealer in total hip arthroplasty. Expert Rev Med Devices. 2008;5(2):125–131.
8. Suarez JC, Slotkin EM, Szubski CR, Barsoum WK, Patel PD. Prospective, Randomized Trial to Evaluate Efficacy of a Bipolar Sealer in Direct Anterior Approach Total Hip Arthroplasty. J Arthroplasty 2015;30(11):1953–8.

8. Suarez JC, Slotkin EM, Szubski CR, Barsoum WK, Patel PD. Prospective, Randomized Trial to Evaluate Efficacy of a Bipolar Sealer in Direct Anterior Approach Total Hip Arthroplasty. J Arthroplasty 2015;30(11):1953–8.

7. Marulanda GA,Ulrich SD, Seyler TM, Delanois RE, Mont MA. Reductions in blood loss with a bipolar sealer in total hip arthroplasty. Expert Rev Med Devices. 2008;5(2):125–131.
8. Suarez JC, Slotkin EM, Szubski CR, Barsoum WK, Patel PD. Prospective, Randomized Trial to Evaluate Efficacy of a Bipolar Sealer in Direct Anterior Approach Total Hip Arthroplasty. J Arthroplasty 2015;30(11):1953–8.
9. Ackerman SJ, Tapia CI, Baik R, Pivec R, Mont MA. Use of a Bipolar Sealer in Total Hip Arthroplasty: Medical Resource Use and Costs Using a Hospital Administrative Database. Orthopedics 2014;37(5):e472–481.

9. Ackerman SJ, Tapia CI, Baik R, Pivec R, Mont MA. Use of a Bipolar Sealer in Total Hip Arthroplasty: Medical Resource Use and Costs Using a Hospital Administrative Database. Orthopedics 2014;37(5):e472–481.

9. Ackerman SJ, Tapia CI, Baik R, Pivec R, Mont MA. Use of a Bipolar Sealer in Total Hip Arthroplasty: Medical Resource Use and Costs Using a Hospital Administrative Database. Orthopedics 2014;37(5):e472–481.
10. Nichols C, Vose J. Clinical Outcomes and Costs Within 90 days of Primary or Revision Total Joint Arthroplasty. Arthroplasty 2016;Epub ahead of print.

8. Suarez JC, Slotkin EM, Szubski CR, Barsoum WK, Patel PD. Prospective, Randomized Trial to Evaluate Efficacy of a Bipolar Sealer in Direct Anterior Approach Total Hip Arthroplasty. J Arthroplasty 2015;30(11):1953–8.
9. Ackerman SJ, Tapia CI, Baik R, Pivec R, Mont MA. Use of a Bipolar Sealer in Total Hip Arthroplasty: Medical Resource Use and Costs Using a Hospital Administrative Database. Orthopedics 2014;37(5):e472–481.

11. Rosenberg AG. Reducing blood loss in total joint surgery with a saline-coupled bipolar sealing technology. J Arthroplasty 2007;22(4 Suppl 1):82–85.

12. Clement RC, Derman PB, Graham DS, Speck RM, Flynn DN, Levin LS, Fleisher LA. Risk factors, causes, and the economic implications of unplanned readmissions following total hip arthroplasty. J Arthroplasty. 2013 Sep;28(8 Suppl):7-10.

  • Single skin-to-skin instrument eliminates device exchanges, and as a result, the risk of scalpel injuries incurred during exchanges[13,14]
  • Compared to scalpel and traditional electrosurgery, the PlasmaBlade™ has demonstrated a 12% reduction in operative time during total knee arthroplasty[13]
  • Comparable blood loss to scalpel and traditional electrosurgery,[13] with reduced thermal injury compared to traditional electrosurgery[15]
PlasmaBlade™

PROCEDURES

  • Total knee arthroplasty
  • Total hip arthroplasty
  • Total shoulder arthroplasty
  • Patients with pacemaker, DBS, or spine stimulator insitu

13. Data on file. VR-00083 study summary. 71-10-2454.
14. Vose JG, McAdara-Berkowitz J. Reducing scalpel injuries in the operating room. AORN J. 2009;90(6):867-872.

13. Data on file. VR-00083 study summary. 71-10-2454.

15. Ruidiaz ME, Messmer D, Atmodjo DY, et al. Comparative healing of human cutaneous surgical incisions created by the PEAK PlasmaBlade, conventional electrosurgery, and a standard scalpel. Plast Reconstr Surg. 2011;128(1):104-111.

  • The RadiaLux™ lighted retractor is a single-use retractor designed to provide surgeons with the ability to manipulate soft tissue through a combination of blades when assembled onto a retractor handle.
  • The retractor provides illumination to the surgical field independent of an external light source or fibre optic cables.
  • The lighted retractor is indicated for enhancing visibility to a surgical field through retraction of soft tissue and illumination of the surgical cavity.
RadiaLux™

Revolution Surgical Pty Ltd
5/14-16 Crescent Street, Rozelle NSW 2039 AU
ABN: 63 165 643 434

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